علاج مرض غريفز مع مرض العين الدرقية النشط الخفيف

DOI: 10.1016/j.ecl.2021.12.004.

• For mild, active TED, topical artificial tears in drop, gel, and ointment (1% methylcellulose drops and/or petrolatum jelly) are key to maintaining a healthy ocular surface.
• Selenium supplementation has been shown to improve the course of mild TED in areas of relative selenium deficiency.
• Local measures to improve symptoms may include eye shades, artificial tears, elevation of head during sleep, and avoidance of eye cosmetics.
• Topical cyclosporine has been shown to be beneficial in reducing ocular surface inflammation.
• Currently, the ETA/European Group on Graves' Orbitopathy (EUGOGO) recommends 6 months of selenium supplementation in patients with mild TED of short duration since it may improve eye manifestations and quality of life and prevent TED progression to severe forms.
• Clinicians should advise their patients with GD to stop smoking and refer them to a structured smoking cessation program.